Job Summary
We are seeking an experienced Labor & Delivery Registered Nurse (L&D RN) for a 13-week travel assignment in Spokane, Washington.
This position is best suited for an RN with at least 2 years of recent Labor & Delivery experience who is confident caring for both routine and high-risk obstetric patients in an acute-care hospital setting.
The RN will provide comprehensive care throughout labor, delivery, and immediate postpartum recovery. Candidates should be experienced in high-risk L&D, fetal monitoring, antepartum care, inductions, augmentation of labor, VBAC/TOLAC, pre-eclampsia, diabetes in pregnancy, multiple gestations, and maternal emergencies.
Key Responsibilities
- Provide direct nursing care to patients during labor, delivery, and immediate postpartum recovery.
- Perform ongoing maternal and fetal assessments.
- Monitor fetal heart rate patterns, contractions, and labor progression.
- Identify abnormal fetal monitoring findings and escalate concerns promptly.
- Independently manage actively laboring patients.
- Care for patients undergoing induction and augmentation of labor.
- Administer oxytocin and other medications according to provider orders and facility protocols.
- Care for high-risk obstetric patients.
- Provide nursing care to antepartum patients.
- Support and monitor patients undergoing VBAC/TOLAC.
- Care for patients with pre-eclampsia and other hypertensive disorders of pregnancy.
- Manage obstetric patients with diabetes.
- Care for patients with multiple gestation pregnancies.
- Assist physicians and other providers during vaginal deliveries and obstetric procedures.
- Prepare patients for cesarean delivery when required.
- Respond quickly and appropriately to maternal and fetal emergencies.
- Administer medications, IV fluids, blood products, and other treatments as ordered.
- Provide patient and family education throughout the childbirth process.
- Maintain accurate and timely clinical documentation using Epic.
- Participate in shift handoffs and interdisciplinary communication.
- Follow hospital safety, infection-control, and clinical-care standards.
- Float to appropriate units when required based on staffing and patient-care needs.
Required Experience
Candidates must have:
- Minimum 2 years of Labor & Delivery RN experience
- Recent acute-care hospital experience
- Strong high-risk Labor & Delivery experience
- Experience independently caring for actively laboring patients
- Electronic fetal monitoring experience
- Antepartum care experience
- Experience with induction and augmentation of labor
- Experience caring for patients with pre-eclampsia
- Experience managing diabetes during pregnancy
- Experience with multiple gestation pregnancies
- Experience with VBAC/TOLAC
- Experience recognizing and responding to maternal and fetal emergencies
Required Licenses & Certifications
- Active Registered Nurse license meeting Washington State practice requirements
- BLS – Basic Life Support
- ACLS – Advanced Cardiovascular Life Support
- NRP – Neonatal Resuscitation Program
- AWHONN Intermediate Fetal Monitoring
- FHM / Fetal Heart Monitoring certification or documented competency as required by the facility
All licenses and certifications must remain current throughout the assignment.
Preferred Qualifications
- Previous travel nursing experience
- Experience working in a large acute-care hospital
- Experience in a high-volume Labor & Delivery department
- Experience with high-risk maternal-fetal cases
- Epic charting experience
- Experience working with NICU or neonatal teams
- Strong knowledge of obstetric emergency response and maternal-fetal assessment
Key Clinical Skills
Strong candidates should be comfortable with:
- Labor and delivery nursing
- High-risk obstetrics
- Electronic fetal monitoring
- Fetal heart rate interpretation
- Maternal assessment
- Labor progression assessment
- Antepartum care
- Induction of labor
- Oxytocin administration
- Labor augmentation
- VBAC/TOLAC monitoring
- Pre-eclampsia management
- Diabetes in pregnancy
- Multiple gestation pregnancies
- Vaginal delivery assistance
- Cesarean-section preparation
- Maternal emergency response
- Fetal distress recognition
- Immediate postpartum care
- Patient and family education
Schedule Requirements
- Night Shift
- 7:00 PM – 7:00 AM
- Four 12-hour shifts per week
- 48 hours per week
- Some weekend shifts are required.
- Holiday coverage may be required based on department needs.
- Candidates must be willing to float between appropriate units.
Ideal Candidate
The ideal candidate is an experienced Labor & Delivery RN who can confidently manage high-risk patients and respond quickly when maternal or fetal conditions change.
Strong fetal monitoring skills, clinical judgment, communication, teamwork, and the ability to prioritize in a fast-paced environment are essential.
This opportunity may be a strong fit for professionals currently working as a:
- Labor & Delivery RN
- L&D RN
- Travel L&D RN
- High-Risk OB RN
- Obstetrics RN
- Women's Services RN
- Maternal Child Health RN
Equal Opportunity
We are an equal opportunity employer and consider qualified applicants based on experience, education, licensure, certifications, skills, and the requirements of the position.
